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Home My WebLink AboutZ-5248FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 25248 ...... Date ............ July.. 6 ....... 19.73 ES THIS CERTIFIES that the building located at S/ - ld.-Cov® B1vdP pvt... Street Map No. .. XXX...... Block No. ..7OQ .... Lot No. XXX .. Southold .. N...Y.......... . conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Sept ... 3... 19.51. pursuant to which Building Permit No. 8282.. . dated ........... Sept .. 3.... , 19. 59 , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private. .ome. -family -dwalling...................................... . The certificate is issued to Helmut. Hass. builder. to. Irene. Melssnest .. OrMer. . of the aforesaid building. NOTES Ori inal C (owner, lessee or tenant) g /� I�zrr10 Sept 5, 1961 Suffolk County Department of Health Approval p?'!a.- o44t# . requirements UNDERWRITERS CERTIFICATE No... pro -!-existing.. roquiremsnts. EIOUSt= NUMBER.....180.....Street.... Beverly...Road .(pvt)....................... . .............................................. Building Inspector FORM NO. 8 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .... j14Y...sr..1973................... New Building .................... Old or Pre-existing Building .... X...................... Vacant Land ............................ Location Of Property . East side of Beverly Road / South sicb Old Cove Boulevard ...............................................................................ve.................................. Owner Or Owners Of Property ..Irene.Meissnest .................................................................................................. Subdivision................................................................ Lot No. Block No. . House No............. Permit No ..................... Date Of Permit ....................Applicant .................................................................. Health Dept. Approval ...Yes.................................Labor Dept. Approval ........N.Q.t V.QgLllx.ed............... Underwriters Approval ..... l' § .................................Planning Board Approval ....Not required.......... Request For Temporary Certificate ......................................... Final Certificate..X...................................... F e SI�b itted $ .. 5. 00 This plicat�n is made b undersigned as attorney for former owner, d is"bas'eci"parfly on h's owxf knowledge nd the ccompanying affidavit of the Construction on above described building and rmit meets all pl}�ab odes and regulations. Applicant ,-/...... Sworn ..0,V, Qtto before me s .!Yh.. day of ......... ..l4.z3..... Notary Public ............ .... .. County CORNELIA C. KEOGH C� NOTARY PNoL52 20tate of 93890 New York Qualified in Suffolk County 17,i Term Expires March 30, 19 G x573 (stamp or seal) t vel ' BEFORE THE BUILDING INSPECTOR OF THE TOWN OF SOUTHOLD ----------------------------------X In the Matter of the Application of IRENE MEISSNEST For a Certificate of Occupancy for Premises on the East side of Beverly Road ----------------------------------X STATE OF NEW YORK: COUNTY OF SUFFOLK )ss.: HELMUT HASS, being duly sworn deposes and says: I reside at Peconic, New York, and make this affidavit in sup- port of the application of Stanley S. Corwin in behalf of Irene Meissnest, the present owner, for a Certificate of Occupancy as to the premises on the East side of Beverly Road at Southold (Arshamomoque), New York. Reference is made to the premises on the East side of Beverly Road and the South side of Old Cove Boulevard improved by the only dwelling on the East side of Beverly Road which fronts or faces it. The premises are improved with a one story dwelling and de- tached accessory building. The use of the premises was initially business when the acces- sory building was moved onto the premises as an office for the Old Cove De- velopment. That was subsequently discontinued. The use and occupancy is now a one family dwelling and to the best of deponent's knowledge, no non- conforming use attaches to the premises, other than the location of the present buildings on the site, which may be non -conforming or in violation as to back and/or side yards, although I believe the accessory building was moved to the premises and sited under Permit No. 8272 and that the main dwelling was erected and sited on the basis of an application and permit for which a Certi- fichte of Occupancy was given. The buildings are in good condition and there are no violations of which I am aware. Sworn to before me this Helmut Hass day jtafi—,if July, 1973. 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